Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)

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Rastelli Procedure in Tetralogy of Fallot Patient with Anomalous Coronary Artery: A Case Report

Authors
Achmad Aulia Rachman1, *, Heroe Soebroto1, Arief Rakhman Hakim1, Erdyanto Akbar1
1Department of Cardiac, Thoracic, and Vascular Surgery, Dr Soetomo General Hospital, Universitas Airlangga, Surabaya, Indonesia
*Corresponding author. Email: achmad.aulia.r@gmail.com
Corresponding Author
Achmad Aulia Rachman
Available Online 19 December 2022.
DOI
10.2991/978-94-6463-048-0_46How to use a DOI?
Keywords
tetralogy of fallot; Rastelli procedure
Abstract

Tetralogy of Fallot (ToF) is the most common form of cyanotic heart disease with a prevalence between 3,5 to 8%. Anomalous coronary artery is reported in 2–23% of ToF patient. Knowledge of the coronary anatomy prior to surgery was important to avoid injury to the vessel. In our case, ToF with the presence of coronary artery that crossing the right ventricle outflow (RVOT) tract altered our strategy of surgery using right ventricle-pulmonary artery bypass (Rastelli procedure) in order to avoid injury to the vessel. Case report: A 2-years-old boy was presented with repeated respiratory complaint and delayed both in growth and development. Cyanosis and clubbing fingers were observed in this patient. Overriding aorta and infundibular-valvular pulmonary stenosis were found on transthoracic echocardiography exam and additional finding was right coronary artery crossing the RVOT. The patient underwent total correction of ToF with additional procedure of the right ventricle to pulmonary artery bypass (Rastelli Procedure). The surgery was successful and the length of stay of the patient was eight days. One month following the surgery, we evaluated the flow in the conduit was preferable. The case represented the possible alternative management for ToF with anomalous coronary artery.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
Series
Advances in Health Sciences Research
Publication Date
19 December 2022
ISBN
10.2991/978-94-6463-048-0_46
ISSN
2468-5739
DOI
10.2991/978-94-6463-048-0_46How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Achmad Aulia Rachman
AU  - Heroe Soebroto
AU  - Arief Rakhman Hakim
AU  - Erdyanto Akbar
PY  - 2022
DA  - 2022/12/19
TI  - Rastelli Procedure in Tetralogy of Fallot Patient with Anomalous Coronary Artery: A Case Report
BT  - Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021)
PB  - Atlantis Press
SP  - 394
EP  - 399
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-048-0_46
DO  - 10.2991/978-94-6463-048-0_46
ID  - Rachman2022
ER  -